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<html>
	<head>
		<meta charset="utf-8" />
		<meta name="viewport" content="width=device-width,initial-scale=1,minimum-scale=1,maximum-scale=1,user-scalable=no" />
		<title>东风起亚K4</title>
		<link rel="stylesheet" type="text/css" href="css/information.css"/>
	</head>
	<body>
		<div id="container">
			<div class="info">
				<div class="close" >
					<img src="img/commen_close.png"/>
				</div>
				
				<form action="">
					<div class="form_list">
							<p class="name">
		                    <label for="name" class="fl">*姓名：</label>
		                    <input type="text" name="name" class="fl">
		                </p>
		                <p class="tel">
		                    <label for="tel" class="fl">*手机号：</label>
		                    <input type="text" name="tel" class="fl">
		                </p>
		                <p class="plan">
		                    <label for="yuyue" class="ml42">是否预约试驾：</label>
		                    <span>是</span>
		                    <input type="radio" name='yuyue' value="yes"  checked class="checked">
		                    <span class="ml25">否</span>
		                    <input type="radio" name='yuyue' value="no" >
		                </p>
						<p class="address">
		                    <label for="" class="fl">*所在省份：</label>
		                    <span class="fl province">
		                        <select name="province" id="province" selectedindex="11">
		                        		<option value="" selected>请选择</option><option value="2">北京</option><option value="24">上海</option><option value="25">天津</option><option value="31">重庆</option><option value="130000">河北省</option><option value="140000">山西省</option><option value="150000">内蒙古自治区</option><option value="210000">辽宁省</option><option value="220000">吉林省</option><option value="230000">黑龙江省</option><option value="320000">江苏省</option><option value="330000">浙江省</option><option value="340000">安徽省</option><option value="350000">福建省</option><option value="360000">江西省</option><option value="370000">山东省</option><option value="410000">河南省</option><option value="420000">湖北省</option><option value="430000">湖南省</option><option value="440000">广东省</option><option value="450000">广西壮族自治区</option><option value="460000">海南省</option><option value="510000">四川省</option><option value="520000">贵州省</option><option value="530000">云南省</option><option value="540000">西藏自治区</option><option value="610000">陕西省</option><option value="620000">甘肃省</option><option value="630000">青海省</option><option value="640000">宁夏回族自治区</option><option value="650000">新疆维吾尔自治区</option><option value="710000">台湾省</option><option value="810000">香港特别行政区</option><option value="820000">澳门特别行政区</option>
		                        </select>
		                    </span>
		                    <span class="fl">省</span>
		                    <span class="fl city">
		                        <select name="city" id="city" onchange="getdealers();" selectedindex="0">
		                            <option value="" selected>请选择</option><option value="310000">上海市</option>
		                        </select>
		                    </span>
		                    <span class="fl">市</span>
		                </p>
		                <p class="man">
		                    <label for="agency" class="fl">*选择经销商：</label>
		                    <span class="agency fl">
		                        <select name="agency" id="agency" class="fl">
		                            <option value="" selected>请选择</option>
		                            <option value="1">1</option>
		                            <option value="2">2</option>
		                            <option value="3">3</option>
		                        </select> 
		                    </span>
		                </p>
		                <p class="car">
		                    <label for="car" class="fl">*选择车型：</label>
		                    <select name="car" id="model" class="fl">
		                            <option value="" selected>请选择</option>
		                            <option value="1.8L LUX AT">1.8L LUX AT</option>
		                            <option value="2.0L LUX AT">2.0L LUX AT</option>
		                            <option value="2.0L PRM AT">2.0L PRM AT</option>
		                            <option value="1.6T Turbo DCT">1.6T Turbo DCT</option>
		                            <option value="1.6T T-PRM DCT">1.6T T-PRM DCT</option>
		                            <option value="1.8L GL MT">1.8L GL MT</option>
		                            <option value="1.8L GL AT">1.8L GL AT</option>
		                            <option value="1.8L GLS AT">1.8L GLS AT</option>
		                            <option value="1.8L DLX AT">1.8L DLX AT</option>
		                            <option value="1.8L GLS Special">1.8L GLS Special</option>
		                            <option value="1.8L DLX Special">1.8L DLX Special</option>
		                            <option value="1.6T Special DCT">1.6T Special DCT</option>
		                    </select> 
		                </p>
		                <p class="time">
		                    <label for="time" class="fl">*预计购车时间：</label>
		                    <span class="time fl">
		                        <select name="time" id="time" class="fl">
		                            <option value="">请选择</option>
		                            <option value="0~3个月内">0~3个月内</option>
		                            <option value="4~6个月内">4~6个月内</option>
		                            <option value="7~9个月内">7~9个月内</option>
		                            <option value="10~12个月内">10~12个月内</option>
		                        </select> 
		                    </span>
		                </p>
					</div>
				</form>
				<div class="sub">
					<img src="img/layer_info_submit.png"/>
				</div>
		        
			</div>
		</div>
		 
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